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  5. NIGHT OWL PEDIATRICS, P.A.

NIGHT OWL PEDIATRICS, P.A. - Florida Company Profile

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Company Details

Entity Name: NIGHT OWL PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Mar 2005 (20 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 19 Jan 2021 (5 years ago)
Document Number: P05000037680
FEI/EIN Number 202486643
Address: 10359 CROSS CREEK BLVD., SUITE CD, TAMPA, FL, 33647, US
Mail Address: 10359 CROSS CREEK BLVD., SUITE CD, TAMPA, FL, 33647, US
ZIP code: 33647
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ADS ASHRAF Director 10359 CROSS CREEK BLVD., TAMPA, FL, 33647
ADS ASHRAF President 10359 CROSS CREEK BLVD., TAMPA, FL, 33647
ADS ASHRAF Agent 10359 CROSS CREEK BLVD., TAMPA, FL, 33647

National Provider Identifier

NPI Number:
1811650989
Certification Date:
2021-10-15
Link:
View on NPI website

Authorized Person:

Name:
ASHRAF ADS
Role:
PRESIDENT/MEDICAL DIRECTOR
Phone:
7343062518

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 813-994-0044
Fax:
8139940055

Form 5500 Series

Employer Identification Number (EIN):
202486643
Plan Year:
2012
Number Of Participants:
2
Sponsors Telephone Number:
8133404926
Plan Year:
2012
Number Of Participants:
2
Sponsors Telephone Number:
8133404926
File:
View File
Plan Year:
2011
Number Of Participants:
3
Sponsors DBA Name:
SAME
Sponsors Telephone Number:
8133404926
File:
View File
Plan Year:
2010
Number Of Participants:
3
Sponsors Telephone Number:
8133409035
File:
View File
Plan Year:
2009
Number Of Participants:
3
Sponsors Telephone Number:
8133404926
File:
View File

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000056094 NIGHT OWL FAMILY URGENT CARE ACTIVE 2021-04-23 2026-12-31 - 10359 CROSS CREEK BLVD, STE CD, TAMPA, FL, 33647

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-01-19 ADS, ASHRAF -
REINSTATEMENT 2021-01-19 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF MAILING ADDRESS 2019-08-07 10359 CROSS CREEK BLVD., SUITE CD, TAMPA, FL 33647 -
AMENDMENT 2018-11-01 - -
CHANGE OF PRINCIPAL ADDRESS 2006-01-13 10359 CROSS CREEK BLVD., SUITE CD, TAMPA, FL 33647 -
REGISTERED AGENT ADDRESS CHANGED 2006-01-13 10359 CROSS CREEK BLVD., SUITE CD, TAMPA, FL 33647 -

Documents

Name Date
ANNUAL REPORT 2024-07-15
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-03-08
REINSTATEMENT 2021-01-19
ANNUAL REPORT 2019-04-23
Amendment 2018-11-01
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-06-11

USAspending Awards / Financial Assistance

Date:
2021-01-27
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
57900.00
Total Face Value Of Loan:
57900.00
Date:
2020-04-07
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
59500.00
Total Face Value Of Loan:
59500.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$57,900
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$57,900
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$58,176.02
Servicing Lender:
Centerstone SBA Lending, Inc.
Use of Proceeds:
Payroll: $57,895
Utilities: $1
Jobs Reported:
10
Initial Approval Amount:
$59,500
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$59,500
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$60,106.41
Servicing Lender:
Centerstone SBA Lending, Inc.
Use of Proceeds:
Payroll: $59,500

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Date of last update: 01 Jul 2025

Sources: Florida Department of State

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